Bill Text: CA SB500 | 2013-2014 | Regular Session | Amended

---

Bill Title: Drug Medi-Cal.

Spectrum: Partisan Bill (Democrat 3-0)

Status: (Engrossed - Dead) 2014-08-25 - Action rescinded whereby the bill was re-referred to Com. on HEALTH pursuant to Assembly Rule 77.2. Ordered to third reading. Re-referred to Com. on RLS. pursuant to Assembly Rule 97. [SB500 Detail]

Download: California-2013-SB500-Amended.html

---

BILL NUMBER: SB 500	AMENDED
	BILL TEXT

	AMENDED IN ASSEMBLY  AUGUST 22, 2014
	AMENDED IN ASSEMBLY  MAY 29, 2014
	AMENDED IN SENATE  JANUARY 9, 2014
	AMENDED IN SENATE  JANUARY 6, 2014

INTRODUCED BY   Senator Lieu
    (   Principal   coauthors:  
Assembly Members   Gray   and Pan   )


                        FEBRUARY 21, 2013

    An act to amend Section 2241.6 of the Business and
Professions Code, relating to healing arts.   An act to
amend Section 14124.20 of the Welfare and Institutions Code, relating
to Medi-Cal. 



	LEGISLATIVE COUNSEL'S DIGEST


   SB 500, as amended, Lieu.  Medical practice: pain
management.   Drug Medi-Cal.  
   Existing law provides for the Medi-Cal program, which is
administered by the State Department of Health Care Services, under
which qualified low-income individuals receive health care services.
The Medi-Cal program is, in part, governed and funded by federal
Medicaid Program provisions. Existing law authorizes the department
to adopt regulations for the certification of each provider in the
Medi-Cal program. Existing law also provides for the Medi-Cal Drug
Treatment Program (Drug Medi-Cal), under which the department is
authorized to enter into contracts with counties for various drug
treatment services to Medi-Cal recipients, or is required to directly
arrange for these services if a county elects not to do so. 

   This bill would require the department, in coordination with the
counties, to ensure the implementation of procedures, for purposes of
the Drug Medi-Cal program, to routinely identify and initiate
recovery efforts for payments that the county authorizes either (1)
between the effective date of a provider's decertification and the
date the county receives information regarding the decertification or
(2) after a beneficiary's date of death.  
   Existing law establishes the Medical Board of California within
the Department of Consumer Affairs. Existing law, among other things,
required the board to develop standards before June 1, 2002, to
ensure the competent review in cases concerning the management,
including, but not limited to, the undertreatment, undermedication,
and overmedication of a patient's pain.  
   This bill would require the board, on or before July 1, 2015, to
update those standards. The bill would require the board to convene a
task force to develop and recommend the updated standards to the
board. The bill would also require the board to update those
standards on or before July 1 each 5th year thereafter. 
   Vote: majority. Appropriation: no. Fiscal committee: yes.
State-mandated local program: no.


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:

   SECTION 1.    Section 14124.20 of the  
Welfare and Institutions Code   is amended to read: 
   14124.20.  (a) The department may enter into a Drug Medi-Cal
Treatment Program contract with each county for  the
provision of   providing  alcohol and drug use
services within the county service area.
   (b) A county that has multiple contracts with the department for
 the provision of   providing  multiple
alcohol and drug use services may enter into a single contract with
the department. 
   (c) The department shall, in coordination with the counties,
ensure the implementation of procedures to routinely identify and
initiate recovery efforts for payments that the county authorizes
either (1) between the effective date of a provider's decertification
and the date the county receives information regarding the
decertification or (2) after the beneficiary's date of death. 

  SECTION 1.    Section 2241.6 of the Business and
Professions Code is amended to read:
   2241.6.  (a) (1) The board shall develop standards before June 1,
2002, to ensure the competent review in cases concerning the
management, including, but not limited to, the undertreatment,
undermedication, and overmedication of a patient's pain.
   (2) The board may consult with entities such as the American Pain
Society, the American Academy of Pain Medicine, the California
Society of Anesthesiologists, the California Chapter of the American
College of Emergency Physicians, the Osteopathic Medical Board of
California, and any other medical entity specializing in pain control
therapies to develop the standards utilizing, to the extent they are
applicable, current authoritative clinical practice guidelines.
   (b) The board shall update the standards adopted pursuant to
subdivision (a) on or before July 1, 2015, and on or before July 1
each fifth year thereafter.
   (c) The board shall convene a task force to develop and recommend
the updated standards to the board. The task force, in developing the
updated standards, may consult with the entities specified in
paragraph (2) of subdivision (a), the American Cancer Society, a
physician who treats or evaluates patients as part of the workers'
compensation system, an osteopathic physician, a physician assistant,
and specialists in pharmacology and addiction medicine.